The Parathyroid.com website is very informative. Here is an excerpt from one of their articles -Hyperparathyroidism Diagnosis: Diagnosing Parathyroid Disease.
"However, it is quite rare for people to have high calcium levels in their blood... and not have a parathyroid tumor.
It is common for patients with hyperparathyroidism (parathyroid disease) to have calcium levels that are high one time it is checked, and normal the next time it is checked. ALL patients with hyperparathyroidism will have calcium levels that change from day to day, week to week, month to month. Most patients with hyperparathyroidism have calcium levels that fluctuate from high to slightly high, to high-normal. Fluctuating levels of calcium is one of the '10 Parathyroid Rules of Norman'"